Aim 1 · The panel

40 colors: 39 immune markers and a viability dye, in a single tube

A 40-color immunophenotyping panel for a spectral flow cytometer that targets T, B, NK and NKT cells, neutrophils, monocytes, basophils, dendritic cells and innate lymphoid cells. It incorporates markers previously reported in OMIP-109, with some minor updates.

Forty colors: thirty-nine fluorescent antibodies and one viability dye 40 colors in one tube ● 39 ANTIBODIES ○ 1 VIABILITY DYE
Figure 3 · Workflow

From a small blood draw to multiparametric data

Whole blood is labeled with the 40-color panel and acquired on a spectral flow cytometer, yielding high-resolution data on dozens of immune-cell populations at once.

2–5 mL

Blood

A few milliliters per sample

40

Color labeling

39 antibodies plus a viability dye

Spectral cytometer

Spectral emissions of every dye

40

Populations

Multiparametric cytometry data

Built on OMIP-109

The preliminary panel incorporates markers previously reported in OMIP-109, with some minor updates. A 30-color panel has already been established and tested on normal samples.

Viability dye and tetramer staining

A viability dye discriminates live from dead cells, and tetramer staining will be employed to track antigen-specific T cells.

Optimized on healthy-donor blood

High-resolution data depend on factors such as reagent concentration. The panel is optimized on whole blood and peripheral blood mononuclear cells (PBMCs) from healthy donors sourced from a local blood bank.

The markers

39 markers, from lineage to function

The panel provides insight into the expression of fundamental markers on immune cells and into the cells’ differentiation and activation status. Select a marker to see its role and the reference phenotypes that express it.

LineageDifferentiation & memoryActivationCheckpointsChemokine receptorsMyeloid & dendritic cellsB cellNKOther

Select a marker to see its category, role and the populations that express it.

As listed in the proposal

CD16CD45CD27CD45RACD19CD8CD1cCD28CD10TIGITCD25CD11cCD38CD24CD14IgMIgDCD4CD57CD274CD3CD279CD127CD366TCRg/dCD123CD39CD185CD183CD5CD56CD66bCD95HLA-DRTREM2CCR4CD197CX3CR1CD196 + viability dye
Populations

The immune cells the panel targets

The 40-color staining covers lymphoid and myeloid lineages. Figure 3 of the proposal lists the targeted populations; the research portal defines 40 analysis populations based on that list — an adaptation of Figure 3, not a one-to-one copy.

Figure 3 · Immune-cell populations of the multiparametric cytometry data

40 populations
  1. NKT cells Portal: NKT-like cells
  2. Naive CD8 T cells Portal: Naive CD8 T cells
  3. Naive CD4 T cells Portal: Naive CD4 T cells
  4. RA+ Effector memory CD8 T cells (EMRA) Portal: CD8 TEMRA
  5. RA+ Effector memory CD4 T cells (EMRA) Portal: CD4 TEMRA
  6. Effector Memory CD4 T cells Portal: Effector memory CD4 T cells
  7. Effector Memory CD8 T cells Portal: Effector memory CD8 T cells
  8. Central Memory CD8 T cells Portal: Central memory CD8 T cells
  9. Central Memory CD4 T cells Portal: Central memory CD4 T cells
  10. CD4 Treg Portal: Regulatory T cells
  11. Terminally differentiated CD4 Treg Portal: Activated / terminally differentiated Treg
  12. Classic Monocytes Portal: Classical monocytes
  13. Intermediate Monocytes Portal: Intermediate monocytes
  14. Non-classical Monocytes Portal: Non-classical monocytes
  15. Trem2+ Monocytes Portal: TREM2+ monocytes
  16. Naive B cells Portal: Naive B cells
  17. IgD+ Memory B cells Portal: IgD+ memory B cells (unswitched)
  18. Basophils Portal: Basophils
  19. Innate-lymphoid cells (ILCs) Portal: Innate lymphoid cells
  20. IgD- memory B cells Portal: IgD− memory B cells (switched)
  21. Plasmablasts Portal: Plasmablasts
  22. CD11c+ DC Portal: cDC2 (CD1c+ CD11c+ DC)
  23. CD123+ pDC Portal: Plasmacytoid DC
  24. Early-like effector CD4 T cells Not yet defined in the portal
  25. Early effector CD4 T cells Not yet defined in the portal
  26. Follicular CD4 T cells Portal: Circulating Tfh (CXCR5+ PD-1+)
  27. Intermediate effector CD4 T cells Not yet defined in the portal
  28. Early-like effector CD8 T cells Not yet defined in the portal
  29. Early effector CD8 T cells Not yet defined in the portal
  30. Intermediate effector CD8 T cells Not yet defined in the portal
  31. CD8 stem cell memory Portal: Stem-cell memory CD8 T cells
  32. Immature neutrophils Portal: Immature neutrophils
  33. Mature neutrophils Portal: Mature neutrophils
  34. B regulatory cells (Breg) Portal: Transitional / regulatory B cells (Breg)
  35. Memory TCRgd cells Portal: Effector/memory γδ T cells

Population definitions used for analysis

30 mutually exclusive leaf populations add up to 100% of live CD45⁺ leukocytes — the compositional data analyzed in centered log-ratio space and by optimal transport. 10 overlapping functional subsets are reported as a percentage of their parent. 23 populations are flagged as rare.

Dendritic cells

2 leaf

ILC

1 leaf
  • Innate lymphoid cells Rare
    Lin− CD127+

Unconventional T

3 leaf · 2 functional
  • NKT-like cells
    CD3+ CD56+
  • γδ T cells (CD27+) Rare
    CD3+ TCRγδ+ CD27+
  • Effector/memory γδ T cells Rare
    CD3+ TCRγδ+ CD27−
Functional subsets · % of parent
  • Exhausted-phenotype T (PD-1+ TIM-3+ TIGIT+) Rare
    CD279+ CD366+ TIGIT+ · of T cells
  • CD4+ CD8dim T cells Rare
    CD3+ CD4+ CD8dim · of T cells
    CD4+CD8dim T cells ↑ in AD

CD4 T cells

6 leaf · 5 functional
Functional subsets · % of parent
  • Th1-like memory CD4 (CXCR3+ CCR6−)
    CD183+ CD196− CCR4− · of Effector memory CD4 T cells
  • Th2-like memory CD4 (CCR4+ CXCR3− CCR6−)
    CCR4+ CD183− CD196− · of Effector memory CD4 T cells
  • Th17-like memory CD4 (CCR6+ CCR4+)
    CD196+ CCR4+ CD183− · of Effector memory CD4 T cells
  • Circulating Tfh (CXCR5+ PD-1+) Rare
    CD185+ CD279+ · of Central memory CD4 T cells
  • Activated CD4 T (CD38+ HLA-DR+) Rare
    CD38+ HLA-DR+ · of CD4 T cells
    Activated T cells ↓; CD4+CD38+ ↓ in AD

CD8 T cells

5 leaf · 1 functional
  • Naive CD8 T cells
    CD8+ CD45RA+ CCR7+ CD95−
  • Stem-cell memory CD8 T cells Rare
    CD8+ CD45RA+ CCR7+ CD95+
  • Central memory CD8 T cells Rare
    CD8+ CD45RA− CCR7+
  • Effector memory CD8 T cells
    CD8+ CD45RA− CCR7−
  • CD8 TEMRA
    CD8+ CD45RA+ CCR7− CD28−
Functional subsets · % of parent

Reported changes in AD refer to proposal Figure 1 (literature). Gating phenotypes are the portal's reference definitions.

Figure 4 · CLSI H62

Validating the panel before it meets patient samples

Blood samples are obtained from healthy donors in the local blood bank. The optimized staining panel is validated according to recommendations from CLSI H62; if the criteria are met, the panel is then used to immunophenotype patients with AD, alongside relevant controls.

Figure 4: CLSI H62 guidelines for panel validation
Validation ParameterSamplesAcceptance Criteria
Intra-Assay Precision
  • 3 donors
  • 4 analytical runs
  • 2 operators
  • Triplicates
% CV ≤ 25/35
Inter-Assay Precision
  • 3 donors
  • 4 analytical runs
  • Triplicates
% CV ≤ 25/35
Inter-Operator Variability
  • 3 donors
  • 4 analytical runs
  • Triplicates
% Difference ≤ 20
Sample Stability
  • 6 donors
  • 5 analytical runs (baseline, 36 hours, 48 hours)
% Change from baseline ≤ 20
Biological variability
  • 9 donors
  • Triplicates
To be reported as found

Intra-assay precision

Agreement of replicate measurements of the same sample within an analytical run.

Inter-assay precision

Agreement of results for the same donors across separate analytical runs.

Inter-operator variability

Agreement between results produced by different operators.

Sample stability

Change from baseline when samples are analyzed after 36 and 48 hours.

Biological variability

Natural differences between healthy donors, reported as found.

Quality control

Standard operating procedures aligned with CLSI H62

PhenArI has standard operating procedures that align with CLSI H62 recommendations on daily usage and performance monitoring of instruments and on new reagent lots for flow cytometry applications.

1

Daily instrument QC

Instrument performance is monitored every day of use.

2

A QC sample in every run

Each analytical run includes at least one quality-control sample.

3

New reagent lots

New reagent lots for flow cytometry applications are covered by the same CLSI H62-aligned SOPs.

Exclusion

Data are excluded if significant deviations in daily quality control are observed.

Levey–Jennings monitoring

Illustrative
−3 SD −2 SD −1 SD +1 SD +2 SD +3 SD mean run excluded analytical runs →
Schematic: each point is a daily QC value; a significant deviation (here beyond +3 SD) excludes that run's data.

From a validated panel to patient monitoring

Once the panel passes CLSI H62 validation, Aim 2 follows AD patients on lecanemab or donanemab through their treatment cycle.